Korean J Radiol.  2018 Dec;19(6):1031-1041. 10.3348/kjr.2018.19.6.1031.

Image Quality and Radiation Dose of High-Pitch Dual-Source Spiral Cardiothoracic Computed Tomography in Young Children with Congenital Heart Disease: Comparison of Non-Electrocardiography Synchronization and Prospective Electrocardiography Triggering

Affiliations
  • 1Department of Radiology and Research Institute of Radiology, University of Ulsan College of Medicine, Asan Medical Center, Seoul 05505, Korea. ghw68@hanmail.net

Abstract


OBJECTIVE
To compare image quality and radiation dose of high-pitch dual-source spiral cardiothoracic computed tomography (CT) between non-electrocardiography (ECG)-synchronized and prospectively ECG-triggered data acquisitions in young children with congenital heart disease.
MATERIALS AND METHODS
Eighty-six children (≤ 3 years) with congenital heart disease who underwent high-pitch dual-source spiral cardiothoracic CT were included in this retrospective study. They were divided into two groups (n = 43 for each; group 1 with non-ECG-synchronization and group 2 with prospective ECG triggering). Patient-related parameters, radiation dose, and image quality were compared between the two groups.
RESULTS
There were no significant differences in patient-related parameters including age, cross-sectional area, body density, and water-equivalent area between the two groups (p > 0.05). Regarding radiation dose parameters, only volume CT dose index values were significantly different between group 1 (1.13 ± 0.09 mGy) and group 2 (1.07 ± 0.12 mGy, p < 0.02). Among image quality parameters, significantly higher image noise (3.8 ± 0.7 Hounsfield units [HU] vs. 3.3 ± 0.6 HU, p < 0.001), significantly lower signal-to-noise ratio (105.0 ± 28.9 vs. 134.1 ± 44.4, p = 0.001) and contrast-to-noise ratio (84.5 ± 27.2 vs. 110.1 ± 43.2, p = 0.002), and significantly less diaphragm motion artifacts (3.8 ± 0.5 vs. 3.7 ± 0.4, p < 0.04) were found in group 1 compared with group 2. Image quality grades of cardiac structures, coronary arteries, ascending aorta, pulmonary trunk, lung markings, and chest wall showed no significant difference between groups (p > 0.05).
CONCLUSION
In high-pitch dual-source spiral pediatric cardiothoracic CT, additional ECG triggering does not substantially reduce motion artifacts in young children with congenital heart disease.

Keyword

Cardiothoracic CT; Congenital heart disease; Child; High-pitch dual-source spiral CT; Electrocardiography synchronization

MeSH Terms

Aorta
Artifacts
Child*
Cone-Beam Computed Tomography
Coronary Vessels
Diaphragm
Electrocardiography*
Heart Defects, Congenital*
Humans
Lung
Noise
Prospective Studies*
Retrospective Studies
Signal-To-Noise Ratio
Thoracic Wall
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